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1013106830
JAE KO
CHICAGO, IL
NPI
1013106830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019027485)
Enumeration Date
2007-10-17
Last Update Date
2015-05-02
Business Address
-- JAE KO DDS
3434 W PETERSON AVE SUITE 1D
CHICAGO, IL 60659-3319
Phone number: 872-208-7573
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Mailing Address
-- JAE KO DDS
2840 W BERWYN AVE
CHICAGO, IL 60625-3402
Phone number: 646-220-5353
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